Active NPIIndividual providerSole proprietor

Kelley P Elliott, CTRS/L

Recreation Therapist in Manchester, New Hampshire

NPI Number1912672387
Practice location
718 Smyth RD, Manchester, NH 03104-7007
Fax
—
Last updated
August 9, 2021

Kelley Pamela Elliott is a Recreation Therapist based in Manchester, NH. Kelley Pamela Elliott practices in Manchester, NH and has the professional credentials of CTRS/L. The NPI Number for Kelley Pamela Elliott is 1912672387 and holds a License No. 0086 (NH). The current practice location address for Kelley Pamela Elliott is 718 Smyth RD, Manchester, NH 03104-7007 and can be reached out via phone at 603-624-4366.

Provider Profile Details

NPI Number
1912672387
Provider Name
Kelley Pamela Elliott
Credential
CTRS/L
Provider Entity Type
Individual
Gender
Female
Address
718 Smyth RD, Manchester, NH 03104-7007
Phone Number
603-624-4366
Primary Taxonomy
Recreation Therapist · 225800000X
Sole Proprietor
Yes
Provider Enumeration Date
August 9, 2021
Last Update Date
August 9, 2021
Certification Date
August 9, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
718 Smyth RD
Manchester, NH 03104-7007
Zip
03104-7007
Phone Number
603-624-4366
Manchester, NH 03104Get directions →

Provider Business Mailing Address Details

Address
718 Smyth RD
Manchester, NH 03104-7007
City
Manchester
State
NH
Zip
03104-7007
Phone Number
603-624-4366

License Information

License Number
0086
License State
NH
Taxonomy
Recreation Therapist · 225800000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kelley P Elliott, CTRS/L?

The NPI number of Kelley P Elliott, CTRS/L is 1912672387. It was assigned on August 9, 2021 and is currently active in the NPPES registry.

What is the specialty of Kelley P Elliott, CTRS/L?

Kelley P Elliott, CTRS/L is registered under the primary taxonomy Recreation Therapist (code 225800000X), licensed in NH under license number 0086.

Where does Kelley P Elliott, CTRS/L practice?

The practice location is 718 Smyth RD, Manchester, NH 03104-7007. The office can be reached at 603-624-4366 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1912672387 directly on the NPPES registry website.

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